Find My Opportunity

This quick preference form is imperative to helping us understand your career goals. We create your portfolio profile based off your answers, which will then be used to ultimately find your best opportunity match.

*Please ensure your CV is in the right format before uploading: .doc, .docx, .pdf

First Name

Last Name

Email Address

Phone Number

Specialty

Work Interest Work Interest Permanent Placement Short Term Locums Long Term Locums Service Line Management

Years of Experience Years of Experience 0 Years 1-3 Years 5-10 Years 10+ Years 20+ Years

Preferred Salary (Annual) Preferred Salary (Annual) $0-150K $150 - 300K $300 - 500K $500 - 850K

# of Procedures (willing to do per month)

Board Certifications Board Certifications Board Eligible Board Certified Not eligible/certified

Additional Board/Specialty Certifications (Eg. ABIM Interventional Cardiology)

Imigration Status Imigration Status J1 Visa H1B US Citizen

State Licenses (Eg. CA, TX, NY...)

Preferred Work Region Preferred Work Region West Southwest Midwest East Southeast

Preferred Area Preferred Area Large Urban Urban Suburban Rural

Preferred Work Environment Preferred Work Environment Large Hospital (200+ beds) Small Hospital Academic Private Practice Large Group Mixed Practice Non-profit Charity Clinic

11 + 6 =